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Organization

LIFELINE HOME HEALTH CARE OF PORT CHARLOTTE, LLC

Active
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Organization

LIFELINE HOME HEALTH CARE OF PORT CHARLOTTE, LLC

Active
Other names
Lifeline Health Care of Port Charlotte
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER C. NOVEMBER II (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
1931 TAMIAMI TRAIL, SUITE 7, PORT CHARLOTTE, FL 33948-2160
(941) 766-9544
(941) 766-9744
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20649096
FL

Other

Enumeration date
09/13/2006
Last updated
04/28/2010
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